Application of the Five Stages of Grief to Diabetic Limb Loss and Amputation

A potentially underappreciated member of the multidisciplinary approach to diabetic limb salvage is that of psychiatry. Diabetic patients are more likely to experience depression, and diabetic patients with depression are more likely to undergo an amputation. Also, both diabetes and depression independently increase the healthcare costs in the United States. The objective of the present…

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Metatarsus Primus Elevatus Resolution After First Metatarsophalangeal Joint Arthroplasty:

Eliminating Elevatus Without an Osteotomy – A Preliminary Study Hallux limitus (HL) is the second-most common pathology associated with the first metatarsophalangeal joint. A common etiology believed to be associated with HL is metatarsus primus elevatus (MPE), although causation has been unsubstantiated by evidence. Historically, correction of MPE is surgically addressed with an osteotomy. However,…

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A Survey of Patient Care Handoff and Sign-Out Practices Among Podiatric Surgical Residency Programs

A patient “handoff,” or the “sign-out” process, is an episode during which the responsibility of a patient transitions from one health-care provider to another. These are important events that affect patient safety, particularly because a significant proportion of adverse events have been associated with a relative lack of physician communication. The objective of this investigation…

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Rate of and Factors Associated with Ambulation After Unilateral Major Lower-Limb Amputation at an Urban US Tertiary-Care Hospital with a Multidisciplinary Limb Salvage Team

One relatively universal functional goal after major lower-limb amputation is ambulation in a prosthesis. This retrospective, observational investigation sought to 1) determine what percentage of patients successfully walked in a prosthesis within 1 year after major limb amputation and 2) assess which patient factors might be associated with ambulation at an urban US tertiary-care hospital.

Computerized Tomography Measurement of Syndesmotic Reduction in Intra-Articular Tibial Plafond Fractures

Intra-articular fractures involving the ankle joint complex may be associated with significant patient morbidity, particularly if involving disruption and instability of the syndesmotic ligaments. Although this has been relatively well-established within the literature with respect to rotational ankle fractures [1,2], the association and impact of syndesmoticdisruption and malreduction on intra-articular tibial plafond fractures (i.e. pilon…

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Ocean County Foot & Ankle Surgical Associates, P.C. is pleased to Announce that our very own Dr. Michael Plishchuk has been named Chairman of Foot and Ankle Surgery at Deborah Heart and Lung. Congratulations, Dr. Plishchuk!

About Michael Plishchuk, D.P.M. Dr. Plishchuk is a graduate of the Temple University School of Podiatric Medicine in Philadelphia. His residency was served at Kennedy Memorial Hospitals in Stratford, Cherry Hill and Turnersville, New Jersey. Dr. Plishchuk has worked with patients at some of the most prestigious and well respected medical facilities in the area…

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